Gomez Trucking USDOT 1127867

Insurance Form	Insurance Type	Insurance Carrier	Policy/Surety	Coverage Amount From	Coverage Amount To	Effective Date From	Effective Date To
91X	BIPD/Primary	Scottsdale Indemnity Company	CTI0036984	$0	$750,000	04/12/2012	10/27/2011 Replaced
91X	BIPD/Primary	Scottsdale Indemnity Company	CTI0035925	$0	$750,000	10/27/2011	08/23/2012 Cancelled
91X	BIPD/Primary	Scottsdale Indemnity Company	CTI0035925	$0	$750,000	10/27/2011	04/12/2012 Replaced
91X	BIPD/Primary	National Casualty Company	CTI0034445	$0	$1,000,000	05/13/2011	10/27/2011 Cancelled
91X	BIPD/Primary	National Casualty Company	CTI0034445	$0	$1,000,000	10/27/2010	05/13/2011 Cancelled
91X	BIPD/Primary	Scottsdale Indemnity Company	CTI0034086	$0	$750,000	10/27/2009	10/27/2010 Cancelled
91X	BIPD/Primary	Empire Fire & Marine Insurance Co.	CL989915	$0	$750,000	10/27/2008	10/27/2009 Cancelled
91X	BIPD/Primary	National Continental Insurance Co.	CP 6761251-7	$0	$750,000	02/13/2008	08/07/2008 Cancelled
91X	BIPD/Primary	National Continental Insurance Co.	CP 6761251-7	$0	$750,000	10/06/2007	02/13/2008 Cancelled
91X	BIPD/Primary	National Continental Insurance Co.	CP 6761251-7	$0	$750,000	08/07/2007	10/06/2007 Cancelled
91X	BIPD/Primary	National Continental Insurance Co.	CP 6761251-6	$0	$750,000	01/12/2007	08/07/2007 Cancelled
91X	BIPD/Primary	National Continental Insurance Co.	CP 6761251-6	$0	$750,000	08/07/2006	01/12/2007 Cancelled
91X	BIPD/Primary	National Continental Insurance Co.	CP 6761251-5	$0	$750,000	11/15/2005	08/07/2006 Cancelled
91X	BIPD/Primary	National Continental Insurance Co.	CP 6761251-5	$0	$750,000	08/07/2005	11/15/2005 Cancelled
91X	BIPD/Primary	National Continental Insurance Co.	CP 6761251-4	$0	$750,000	12/28/2004	08/07/2005 Cancelled
91X	BIPD/Primary	National Continental Insurance Co.	CP 6761251-4	$0	$750,000	08/07/2004	12/28/2004 Replaced
91X	BIPD/Primary	National Continental Insurance Co.	CP 6761251-3	$0	$750,000	06/30/2004	08/11/2004 Cancelled
91X	BIPD/Primary	National Continental Insurance Co.	CP 6761251-3	$0	$750,000	06/30/2004	06/30/2004 Replaced
91X	BIPD/Primary	National Continental Insurance Co.	CP 6761251-3	$0	$750,000	06/30/2004	06/30/2004 Replaced
91X	BIPD/Primary	National Continental Insurance Co.	CP 6800118-3	$0	$750,000	03/19/2003	07/14/2003 Cancelled
34	CARGO	Hudson Insurance Company	HIM10 09351	$0	$5,000*	10/27/2010	10/27/2011 Cancelled
34	CARGO	Zurich American Insurance Company	MTC9655332	$0	$5,000*	10/27/2009	10/27/2010 Cancelled
34	CARGO	Empire Fire & Marine Insurance Co.	CL989915	$0	$5,000*	10/27/2008	10/27/2009 Cancelled
34	CARGO	Hudson Insurance Company	HIM08 00593	$0	$5,000*	02/23/2008	11/26/2008 Cancelled
34	CARGO	Hudson Insurance Company	HIM08 00593	$0	$5,000*	02/23/2008	10/27/2008 Replaced
34	CARGO	Hudson Insurance Company	HIM07 00593	$0	$5,000*	02/23/2007	02/23/2008 Cancelled
34	CARGO	Hudson Insurance Company	HIM06 00593	$0	$5,000*	02/23/2006	02/23/2007 Cancelled
34	CARGO	Hudson Insurance Company	HIM05 00593	$0	$5,000*	02/23/2005	02/23/2006 Cancelled
34	CARGO	Zc Ins. Co /converium Ins.(na) Inc.	IMC03 18413	$0	$5,000*	02/23/2004	02/23/2005 Cancelled
34	CARGO	Zc Ins. Co /converium Ins.(na) Inc.	IMC02 18413	$0	$5,000*	06/08/2003	02/23/2004 Cancelled
34	CARGO	Zc Ins. Co /converium Ins.(na) Inc.	IMC02 18413	$0	$5,000*	02/23/2003	06/08/2003 Cancelled

* If a carrier is in compliance, the amount of coverage will always be shown as the required Federal minimum ($5,000 per vehicle, $10,000 per occurrence for cargo insurance and $75,000 for bond/trust fund). The carrier may actually have higher levels of coverage.';

National Casualty Company 8877 N. GAINEY CTR DR,PO BOX 4110 SCOTTSDALE, AZ	Empire Fire & Marine Insurance Co. 13810 FNB PKWY. OMAHA, NE	Scottsdale Indemnity Company ONE NATIONWIDE PLAZA COLUMBUS, OH
Zurich American Insurance Company 1400 AMERICAN LANE SCHAUMBURG, IL Fax:(410)261 - 7955	Zc Ins. Co /converium Ins.(na) Inc. ONE CHASE MANHATTAN PLAZA NEW YORK, NY Fax:(212)898 - 5212	Hudson Insurance Company 17 STATE STREET 29TH FLR NEW YORK, NY Fax:(212)344 - 2973
National Continental Insurance Co. P.O. BOX 94739 CLEVELAND, OH Fax:(440)603 - 4555